Department of Public Health, Saudi Electronic University, Riyadh, Saudi Arabia.
East Mediterr Health J. 2019 Feb 18;24(12):1155-1164. doi: 10.26719/emhj.18.005.
Immigrant populations in Saudi Arabia face significant health inequalities, including higher smoking prevalence and lower tobacco cessation rate, but little is known about smoking among expatriate workers.
To identify the prevalence and workplace correlates of current smoking to enable targeted anti-smoking interventions.
A cross-sectional survey of 4575 male expatriate workers was used to investigate the associations between self-reported tobacco smoking, sociodemographic characteristics, industry and occupation groups, health insurance status and overall health status using logistic regression analyses.
Current smoking prevalence was 22.9% among male expatriate workers, which was lower than the estimated prevalence in the general population (25.9%). Factors significantly associated with current smoking included being married but not living with family [adjusted odds ratio (AOR) =1.278, 95% confidence interval (CI) 1.048-1.560), health insurance coverage (AOR = 1.326, 1.124-1.565), manual (AOR=1.600, 1.234-2.075) and unskilled (AOR=1.788, 1.341-2.383) occupations, monthly income > 2000 Saudi riyal and duration of stay ≥ 1 year.
Concerted efforts at the national (health policies)and employers' levels are required to reduce smoking prevalence among male expatriate workers, including provision of comprehensive health insurance with tobacco cessation therapy as benefits, enforcement of workplace smoking ban, anti-tobacco heal th programmes and web/telephone smoking cessation counselling.
在沙特阿拉伯，移民人口面临着严重的健康不平等问题，包括更高的吸烟率和更低的戒烟率，但对外籍工人的吸烟情况知之甚少。
确定当前吸烟的流行率和与工作场所相关的因素，以便进行有针对性的控烟干预。
使用横断面调查研究了 4575 名男性外籍工人，使用逻辑回归分析调查了自我报告的吸烟情况、社会人口特征、行业和职业群体、健康保险状况以及整体健康状况之间的关联。
男性外籍工人的当前吸烟率为 22.9%，低于一般人群的估计吸烟率（25.9%）。与当前吸烟显著相关的因素包括已婚但不与家人同住（调整后的优势比（AOR）=1.278，95%置信区间（CI）为 1.048-1.560）、有健康保险（AOR=1.326，1.124-1.565）、体力劳动（AOR=1.600，1.234-2.075）和非熟练劳动（AOR=1.788，1.341-2.383）职业、月收入>2000 沙特里亚尔以及停留时间≥1 年。
需要在国家（卫生政策）和雇主层面做出一致努力，降低男性外籍工人的吸烟率，包括提供全面的健康保险，将戒烟治疗作为福利，执行工作场所禁烟令，开展控烟健康计划以及网络/电话戒烟咨询。
